Organization
G STREET INTEGRATED HEALTH
Active
Parent organization
G STREET INTEGRATED HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
G STREET INTEGRATED HEALTH
Authorized official
JENNIFER OCKER (CEO)
(541) 321-5960
Entity
Organization
Contact information
Practice address
87983 TERRITORIAL RD, VENETA, OR 97487-8775
(541) 935-6922
(541) 747-9870
Mailing address
PO BOX 163, SPRINGFIELD, OR 97477-0024
(541) 735-9420
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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